| Behavioral Health Group, Llc | |
|
757 Teaneck Rd Teaneck NJ 07666-4241 | |
| (201) 833-4100 | |
| (201) 837-1926 |
| Full Name | Behavioral Health Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 757 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Jeane Rajacic-poppe (PSYCHOLOGIST) |
| Authorized Official Contact | 2018334100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Group, Llc 757 Teaneck Rd Teaneck NJ 07666-4241 Ph: (201) 833-4100 | Behavioral Health Group, Llc 757 Teaneck Rd Teaneck NJ 07666-4241 Ph: (201) 833-4100 |
| NPI Number | 1417378720 |
|---|---|
| Provider Enumeration Date | 01/04/2014 |
| Last Update Date | 01/04/2014 |
| Medicare PECOS PAC ID | 2163743717 |
|---|---|
| Medicare Enrollment ID | O20150608001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417378720 | NPI | - | NPPES |
| 1598039083 | Other | NY | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 4992 (New Jersey) | Primary |
| Provider Name | Jeane Rajacic-poppe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598039083 PECOS PAC ID: 3072834621 Enrollment ID: I20150608001795 |
Lisa D'acierno, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 Teaneck Rd, 1st Floor, Teaneck, NJ 07666 Phone: 201-357-1715 Fax: 201-833-8858 | |
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